29 May 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr B. B. Roy and Partner on 29 May 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for the all of the population groups we looked at.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
- The practice pro-actively monitored patients to identify adult and child safeguarding issues.
- The practice identified learning and took action in response to significant events but this was not always recorded.
- Risks to patients were assessed and well managed. Staff recruitment procedures were robust.
- Performance was being monitored, areas for improvement were being identified and action was taken to achieve progress.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received appropriate training for their roles and further training needs had been identified and planned.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- The practice notes of patients receiving a multidisciplinary package of care were not always updated with the most recent care and treatment decisions, although they were recorded on the relevant register.
- Information about services and how to complain was available and easy to understand.
- Patients generally found the appointment system met their needs but had experienced difficulties getting an appointment of their choice with the GP and nurses.
- The practice provided continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff.
- The practice had not undertaken a patient survey to seek the views of patients.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider should;
- Undertake a patient survey to seek a broader view of the services provided.
- Update patient notes when changes to care and treatment have been discussed and agreed at multidisciplinary meetings.
- Implement a system to regularly review medicine alerts.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice